**Executive Summary**
The document is a response to Unstarred Question No. 2237 in Lok Sabha concerning emergency care facilities on national highways, answered on February 12, 2026. It details the initiatives by the Ministry of Health & Family Welfare via the National Programme for Prevention & Management for Trauma and Burn Injuries. The focus is on establishing trauma care facilities along highways and convergence of emergency response systems, with guidelines issued to States/UTs by June 4, 2025.
**Key Points / Main Content**
* **National Programme Initiatives:**
* The Government has implemented the National Programme for Prevention & Management for Trauma and Burn Injuries.
* The program assists States/UTs, including Andhra Pradesh, in setting up Trauma Care Facilities along highways to reduce preventable road accident deaths.
* A pan-India trauma care network is being developed to cover every 100 km.
* **Ambulance Deployment and Support:**
* The National Highways Authority of India (NHAI) deploys Basic Life Support (BLS) ambulances along certain National Highways.
* These ambulances are staffed with trained Emergency Medical Technicians (EMTs)/paramedic staff/Nurses.
* A Memorandum of Understanding (MoU) has been signed with HLL Lifecare Limited for deployment of BLS Ambulances.
* HLL Lifecare Ltd. is also involved in mapping health facilities, training incident management staff, and capacity building of Toll Plaza staff.
* **Coordination and Technology Integration:**
* A coordination mechanism with States/UTs integrates existing technological platforms like Electronic Detailed Accident Report (eDAR) and Transaction Management System (TMS).
* TMS of Ayushman Bharat Pradhan Mantri Jan Aarogya Yojana (AB PM-JAY) is being used.
* Convergence of TMS with Emergency Response Support System (ERSS) / 112 is underway to ensure timely treatment of accident victims.
* Guidelines vide S.O. 2489(E) dated June 4, 2025, advised States/UTs to identify, map, and strengthen the ambulance ecosystem and converge with 112.
* **Funding and Standards:**
* No separate fund allocation has been made for emergency care facilities on NHs, other than what is sanctioned in the total project cost of the respective National Highway Project.
* Works on NHs are carried out per standards, guidelines, manual, and code of practice of Indian Roads Congress, as well as specifications for Road and Bridge Works.
**Impact Analysis**
**Stakeholder: States/UTs**
* **Impact:** They are required to establish and support trauma care facilities along national highways and integrate with the national program.
* **Action Required:** Identify, map, and strengthen the ambulance ecosystem; converge with the 112 emergency response system; and follow guidelines issued vide S.O. 2489(E) dated June 4, 2025.
**Stakeholder: National Highways Authority of India (NHAI)**
* **Impact:** Responsible for deploying and maintaining Basic Life Support (BLS) ambulances along National Highways.
* **Action Required:** Ensure adequate staffing of ambulances with trained personnel (EMTs, paramedics, nurses).
**Stakeholder: HLL Lifecare Limited**
* **Impact:** Responsible for enhancing incident management through deploying ambulances.
* **Action Required:** Mapping of health facilities and training of incident management staff.
Key Entities Referenced
Ministry of Road Transport and Highways: The ministry responsible for national highways development and maintenance, addressing the question about emergency care facilities on national highways.
National Highways Authority of India (NHAI): The agency that deploys Basic Life Support (BLS) ambulances along National Highways.
National Programme for Prevention & Management For Trauma and Burn Injuries: A scheme implemented by the Ministry of Health & Family Welfare for establishing Trauma Care Facilities along the highways.
Ayushman Bharat Pradhan Mantri Jan Aarogya Yojana (AB PM-JAY): A scheme of National Health Authority, Electronic Detailed Accident Report (eDAR) and Transaction Management System (TMS) of which are integrated.
Emergency Response Support System (ERSS) / 112: Emergency number converged with TMS to ensure timely treatment of road accident victims
GOVERNMENT OF INDIA
MINISTRY OF ROAD TRANSPORT AND HIGHWAYS
LOK SABHA
UNSTARRED QUESTION NO. 2237
ANSWERED ON 12TH FEBRUARY, 2026
EMERGENCY CARE FACILITIES ON NATIONAL HIGHWAYS
2237. SHRI MAGUNTA SREENIVASULU REDDY:
Will the Minister of ROAD TRANSPORT AND HIGHWAYS
सड़क परिवहन औि िाजमार्ग मंत्री
be pleased to state:
(a) the details regarding the list of emergency medical and trauma
care infrastructure proposed under consideration and presently
operational along national highways across country, State-wise,
especially in Andhra Pradesh;
(b) the details regarding the total number of beneficiaries (male,
female and others) assisted through such emergency and trauma care
facilities along national highways during the last five years, year-wise
and State-wise, especially in Andhra Pradesh; and
(c) the details regarding the funds allocated, sanctioned, released and
utilised for establishment, operation and upgradation of emergency
care facilities on national highways, scheme-wise and year-wise?
ANSWER
THE MINISTER OF ROAD TRANSPORT AND HIGHWAYS
(SHRI NITIN JAIRAM GADKARI)
(a) to (c) Government in the Ministry of Health & Family Welfare has
implemented the National Programme for Prevention & Management
For Trauma and Burn Injuries. Under the Programme, the Government
has taken initiatives towards assisting States/UTs including Andhra
Pradesh in setting up of Trauma Care Facilities along the highways
with an overall objective to bring down preventable deaths due to roadaccidents by developing a pan-India trauma care network at every 100
km.
National Highways Authority of India (NHAI) deploys Basic Life
Support (BLS) ambulances along certain National Highways wherein
trained Emergency Medical Technicians (EMTs)/paramedic
staff/Nurses are provisioned, on completed corridors of National
Highways (NHs). Further to augment its incident management, a
Memorandum of Understanding (MoU) has been signed with HLL
Lifecare Limited for deployment of BLS Ambulances, mapping of health
facilities and training of incident management staff as well as
capacity building of Toll Plaza staff.
The coordination mechanism with States/UTs within the Scheme has
been designed by integrating the existing technological platforms i.e.
Electronic Detailed Accident Report (eDAR) and Transaction
Management System (TMS) of Ayushman Bharat Pradhan Mantri Jan
Aarogya Yojana (AB PM-JAY) being implemented by National Health
Authority (NHA). To ensure timely treatment of road accident victims
caused by use of motor vehicles, convergence of TMS with Emergency
Response Support System (ERSS) / 112 is undertaken and the
guidelines notified vide S.O. 2489(E) dated the 4th June, 2025, advised
States/UTs to ensure identification, mapping and strengthening of the
ambulance ecosystem and its convergence with 112.
No separate fund allocation for establishment, operation and
upgradation of emergency care facilities on NHs has been made other
than the sanctioned in the total project cost of the respective National
Highway Project. However, works on NHs are carried out as per
standards, guidelines, manual, code of practice of Indian Roads
Congress as well as specifications for Road and Bridge Works which
addresses all identified road safety issues.
****